Nutritional Evaluation of Diet for Dental Patients Flashcards
What factors should be modified to reduce caries risk?
Frequency of meals, food retentiveness, food sequence, fermentable carb amount, sugar concentration, carb form, proximity to bedtime.
What slowly dissolves and causes root demineralization?
Antacids, cough drops, breath mints, hard candies.
How does food form impact cariogenicity?
It affects how quickly food clears from the mouth.
What foods are retentive carbohydrates?
Bakery items, crackers, chips, pretzels.
Which liquids are cariogenic?
Fruit juice, soda, sports drinks, energy drinks, liquid medications.
Which chewy carbs contribute to caries?
Caramels.
How long does it take for liquid foods like soda and sports drinks to clear from the mouth?
20-30 minutes.
How long does it take for solid foods like breakfast bars and chocolate chip cookies to clear from the mouth?
45-60 minutes.
How long does it take for starchy foods like bread, lasagna noodles, and chips to clear from the mouth?
60 minutes.
How long does it take for acidic foods like orange juice, soda, and sports drinks to clear from the mouth?
20-30 minutes.
How does eating a carbohydrate-containing food affect salivary pH?
Salivary pH drops below the critical level for about 40 minutes after eating.
How is caries rate related to meal and snack frequency?
There is a linear relationship—more meals and snacks increase caries rate.
Why is there a risk of enamel demineralization between meals and snacks?
The calcium and phosphorus in saliva need time to remineralize the teeth.
What factors should be considered in a dental hygiene care plan assessment?
Anthropometric measures, clinical signs, dental and dietary assessment, health and dental history, laboratory data, learning style, literacy level, cultural heritage, and socioeconomic status.
What happens to enamel throughout the day due to acid exposure?
Acid exposure is additive, leading to enamel demineralization and potentially visible decay.
How does the timing and sequence of food affect pH levels?
Each exposure causes a decrease in pH within 2-3 minutes, taking 40 minutes to return to neutral.
How does the order of food affect enamel demineralization risk?
Eating fermentable carbohydrates before or between non-cariogenic foods reduces acid exposure.
What is the first step in caries management by risk assessment?
Identify disease indicators, caries risk factors, and caries protective factors, along with clinical evaluation.
How do dairy products affect enamel demineralization?
Dairy reduces demineralization and helps buffer acids produced by bacteria.
What is the second step in the caries management assessment?
Create and implement a treatment plan based on the risk outcome.
How does sugar-free chewing gum help with oral health?
It stimulates saliva, buffers acids, and aids in oral clearance of food.
How can you motivate patients to participate in their care?
Give them a reason for wanting to participate and build rapport and trust.
How can you enhance patient understanding?
Use visual aids like laminated reference cards, food props, and colorful guides.
What should be gathered to assess a patient’s eating habits?
Information about the quality of the patient’s meal pattern and eating habits, including a food diary.
What communication techniques should be used with patients?
Use open-ended questions, attentive listening, and initiate open dialogue about food and snack selection.
What is the purpose of SMART goals in patient care?
SMART goals help patients set Specific, Measurable, Attainable, Relevant, and Time-bound goals.
What should be reinforced during the follow-up?
Reinforce improvements and clarify any misconceptions.
What should be considered when setting goals with patients?
Goals should be realistic, measurable, challenging but attainable, and involve follow-up to monitor progress.
When should progress be assessed during the follow-up?
At the midpoint of the treatment plan.
What should the patient complete for follow-up evaluation?
Another food record to compare with the initial assessment.
